Provider Demographics
NPI:1306166384
Name:LAYTON, AARON MARK (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MARK
Last Name:LAYTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 CASEY WAY APT K
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46221-8607
Mailing Address - Country:US
Mailing Address - Phone:317-473-7228
Mailing Address - Fax:
Practice Address - Street 1:1 PLACE NOTRE DAME
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-2223
Practice Address - Country:US
Practice Address - Phone:802-748-9357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0160067296122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist